Active NPI
Jessica Nadig Loura, PT, DPT
- Physical Therapy Clinic/Center
- Charlottesville, VA
National Provider Identifier
1376769083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 2305204710
- Practice address
- 3040 Berkmar Dr Ste A1
Charlottesville, VA 22901-1593 - Phone
- (434) 979-8628
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 2305204710 | VA | Primary |
Addresses
Primary practice location
3040 Berkmar Dr Ste A1
Charlottesville, VA 22901-1593
Mailing address
3040 Berkmar Dr Ste A1
Charlottesville, VA 22901-1593
Phone (434) 979-8628
Other practice location 1
4560 South Blvd Ste 310
Virginia Beach, VA 23452-1160
Phone (757) 490-3223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004979907 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305204710 | VA | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susy Russell Physical Therapy LLC | Physical Therapy | Current | Accepting new patients |
| The Charleston Center, Inc | Physical Therapist | Current | Accepting new patients |
Locations
1102 Rose Hill Dr
Charlottesville, VA 22903
Phone (434) 979-8628
3040 Berkmar Dr
Ste A1
Charlottesvle, VA 22901
Phone (434) 249-9578
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Charlottesville, VA
- NPI 1902161672
-
- Rehabilitation Clinic/Center
- Charlottesville, VA
- NPI 1427150630
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1376769083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 BERKMAR DR STE A1",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229011593",
"telephone_number": "434-979-8628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 BERKMAR DR STE A1",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229011593",
"telephone_number": "434-979-8628"
}
],
"practiceLocations": [
{
"address_1": "4560 South Blvd Ste 310",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234521160",
"country_code": "US",
"telephone_number": "757-490-3223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NADIG LOURA",
"first_name": "JESSICA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "VA",
"license": "2305204710",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004979907",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.